Frontal and naso-mental island flaps in partial loss of nasal substance--advantages and disadvantages
Caleffi, E.; Vaienti, L.; Ghillani, M.
Acta Bio-Medica de l'Ateneo Parmense 56(1): 33-41
1985
ISSN/ISBN: 0392-4203 PMID: 2930977 Document Number: 252824
The authors illustrate the frontal and naso-labial island flaps for reconstruction of loss of substance of the nose, comparing them with the more usual rotation flaps and discussing their advantages and disadvantages. Regarding the advantages: the satisfactory aesthetic result immediately after the operation, the oncological excision and the complete reconstruction in only one surgical step, the valid vascular support with sure vitality of the flap and the elegance of the surgical technique. Among the disadvantages: the limited rotation arc, the excessive bulk of the frontal flap for the reconstruction of the internal canthus, the frequent "trap door" effect, the possible relief in the area of the subcutaneous tunnel and the more laborius surgical intervention.